PROVIDENTIA LLC

TULSA, OK
NPI1710910237
Doing Business AsFREELAND BROWN PHARMACY
Entity TypeOrganization
Authorized ContactANDREW AARON KOHLER
Owner/Manager
918-743-4491
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: OK  2-5706)
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
333600000X Pharmacy
3336L0003X Pharmacy, Long Term Care Pharmacy
Enumeration Date2006-07-08
Last Update Date2020-07-28
Business Address
PROVIDENTIA LLC
4112 S PEORIA AVE
TULSA, OK 74105-7613
Phone number: 918-743-4491
Mailing Address
PROVIDENTIA LLC
4112 S PEORIA AVE
TULSA, OK 74105-7613
Phone number: 918-743-4491